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Dental Coverage

Your Health Benefits for Immigrant Adults or Seniors (HBIA/HBIS) plan includes dental care.1 We work with DentaQuest®2 to help you get the dental care you need. It is important to use these benefits to keep your teeth healthy. Find helpful tips for healthy teeth on DentaQuest's website . Check out "Oral Health Tips and Education."

What is Covered?3

Many dental services are covered when you go to an in-network dentist. You do not need approval from your PCP for dental care. Some dental care requires prior approval before you get treatment. Without approval for those services, you may have to pay.

Dental benefits can vary depending on your age. Members who are pregnant or have special needs can also get extra dental care.

Members Over the Age of 21

  • Two teeth cleanings per 12 months (2 total per year)
    Note: HBIA/HBIS members can get an extra cleaning annually as part of member value-added benefits.
  • Two oral exams per 12 months (2 total per year)
  • One set of preventive x-rays per 12 months
  • Emergency dental services
  • Fillings
  • Crowns
  • Limited root canals
  • Limited dentures
  • Limited oral surgery
  • Extractions

Members Under the Age of 21

  • One cleaning per 6 months (2 total per year)
  • One oral exam per 6 months (2 total per year)
  • One fluoride treatment per 6 months (2 total per year)
  • Sealants
  • Fillings
  • Crowns
  • Root canals
  • Dentures
  • Extractions
  • Emergency dental services

Eligible Pregnant Members

Pregnant mothers also can get these extra dental services prior to the birth of their baby:

  • Periodic oral exams
  • Teeth cleaning
  • Periodontal work

Check this brochure to learn more about dental health during pregnancy and what is covered.

Members with Special Needs

  • Practice visits to the dentist

What Is Not Covered?

This plan does not cover some dental services such as:

  • Cosmetic dentistry
  • Tooth bleaching and whitening
  • Implants

Check the HBIA/HBIS Member Handbook to learn more about dental benefits.

 

FIND CARE

Find a Dentist

Do you need to find a dentist in your area? Would you like helpful tips for healthy teeth? Visit the DentaQuest site to choose an in-network dentist and more.

Visit DentaQuest
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CONTACT US

Need Help?

If you have questions about your plan, we can help. To ask about what the plan covers, find a provider, change your PCP and more, just call us. We are available 24 hours a day, seven days a week. Members with hearing or speech loss can call the TTY/TDD line at 711.

Call 1-877-860-2837

1 Dental benefits are not covered by Blue Cross and Blue Shield of Illinois for Managed Long Term Services and Supports (MLTSS) plan members.

2 DentaQuest is an independent company that provides dental benefits for Blue Cross Community Health Plans.

3 Some limits apply to general dentistry.